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BLD2022-0940_Application_7.15.2022_9.56.55_AM_2991811CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1173788 - 24123 95th PI W Applicant First Name Last Name Company Name Karen Matheney Washington Energy Services Company, LLC Number Street Apartment or Suite Number E-mail Address 3909 196th St SW permits@washingtonenergy.com City State Zip Phone Number Extension Lynnwood WA 98036 (206) 378-6648 Contractor Company Name WASHINGTON ENERGY SVCS CO LLC Number Street Apartment or Suite Number 3909 196th St SW City State Zip Phone Number Extension Lynnwood WA 98036 (206) 378-6648 State License Number License Expiration Date UBI # E-mail Address WASHIES851 NS 9/7/2023 Fini.r;97ni9 permits@washingtonenergy.com Project Location Number Street Floor Number Suite or Room Number 24123 95TH PL W City Zip Code County Parcel Number EDMONDS 98020 00446800001000 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Penelope Peters Number Street Apartment or Suite Number 24123 95TH PL W City State Zip EDMONDS WA 98020 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 7/15/2022 Submitted By: Karen Matheney Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Mechanical Application #1173788 - 24123 95th PI W Project Contact Company Name: Washington Energy Services Company, LLC Name: Karen Matheney Email: permits@washingtonenergy.com Address: 3909 196th St SW Phone #: (206) 378-6648 Lynnwood WA 98036 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Name: 24123 95th PI W Description of Work: REPLACING GAS FURNACE AND AC, INSTALLING 2 FIREPLACE INSERTS. Project Details Heaters Fireplace Insert - Gas 2 HVAC Systems Air Conditioner 1 Furnace 1 Work Location Work Description/Location (example: 1 st floor, 1 st floor Master Bath, Garage) Page 2 of 2